关键词: 贲门癌, 椭圆形吻合法, 吻合口狭窄, 吻合口漏

Abstract: 【Abstract】 Objective To investigate the difference between the manual oval anastomotic method and manual traditional anastomotic method in cardia cancer surgery. Methods A retrospective data were analyzed in 112 cases with cardiac carcinoma, who underwent of radical operation for cardiac carcinoma using both of anastomosis method from September 2009 to September 2012. Results Among 112 cases, anastomotic leakage of esophageal anastomosis occurred in four cases, of which three in traditional anastomosis group of patients, one in oval anastomosis group (P<0.05). Stricture of esophageal anastomosis occurred in five cases, of which four in traditional anastomosis group and one in oval anastomosis group (P<0.05). Moreover, esophageal reflux occurred in twelve patients, in whom ten cases happened in traditional anastomosis group, two cases were in oval anastomosis group (P<0.05). No differences were found in operative time and the amount of bleeding between two groups. Conclusion In the digestive tract reconstruction of cardiac cancer surgery, manual oval anastomosis can prevent and reduce anastomotic fistula and anastomotic stricture, and can prevent reflux esophagitis.

Key words: Cardiac carcinoma, Oval anastomotic procedure, Anustomotic stenosis, Anastomotic leakage